I am looking for a good resource for advice/help/guidance with processing and payment of medical bills. Any ideas, forums, websites that offer legal advice, processing advice, resolution/escalation advice would be appreciated.
My medical insurer United Healthcare has wrongly denied claims for years. United Healthcare is secondary to Medicare, and my doctor does not accept Medicare. For years I have self processed these claims with minimal difficulty. The claims in question are all standard office visits which should be covered at some % (at one time it was 80%, but no more.) With my new Doctor they refused for years to pay some claims and paid others with no pattern or explanation. $1000s in claims are outstanding.
After numerous submissions, denials, phone calls, over the last 3 years a some of the claims were processed. After no response for their claims service and NO response to repeated phone calls and letters, I wrote the CEO this got their attention. They had made numerous errors, e.g. they wanted info from my Doctor, but sent the request to an address they had not been at for 10 years!
A few claims have be paid, seemingly erroneously. They also continue to deny payment on some claims because they say I did not submit them with in a 12 month time allotment. I did, and know exactly when.
I am looking for information to put pressure on them, legally, etc. But to do so I need to know more about my rights, what should be paid, etc. I could search the web, but my energy as is my ability to handle stress is very limited.
Thank you
My medical insurer United Healthcare has wrongly denied claims for years. United Healthcare is secondary to Medicare, and my doctor does not accept Medicare. For years I have self processed these claims with minimal difficulty. The claims in question are all standard office visits which should be covered at some % (at one time it was 80%, but no more.) With my new Doctor they refused for years to pay some claims and paid others with no pattern or explanation. $1000s in claims are outstanding.
After numerous submissions, denials, phone calls, over the last 3 years a some of the claims were processed. After no response for their claims service and NO response to repeated phone calls and letters, I wrote the CEO this got their attention. They had made numerous errors, e.g. they wanted info from my Doctor, but sent the request to an address they had not been at for 10 years!
A few claims have be paid, seemingly erroneously. They also continue to deny payment on some claims because they say I did not submit them with in a 12 month time allotment. I did, and know exactly when.
I am looking for information to put pressure on them, legally, etc. But to do so I need to know more about my rights, what should be paid, etc. I could search the web, but my energy as is my ability to handle stress is very limited.
Thank you
